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Echolight sonogram scan for bones

Osteoporosis & Bone Health | Last Active: Oct 21 11:50am | Replies (143)

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@pennykj

As an update, I believe I had a positive visit with my osteoporosis specialist this morning who ordered a DXA with TBS and a DXA of my forearm, per my request. I will be getting the scans Friday morning at a facility about 5 miles from home. I asked about REMS and my doctor stated that she thinks that TBS is better than REMS. I will hold off going to NC to get an Echolight REMS scan until I get the new DXA TBS results and meet with my doctor in 2 months (who may now want me to go on Prolia because my bone resorption is high).

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Replies to "As an update, I believe I had a positive visit with my osteoporosis specialist this morning..."

On 8/18/23, I had a DXA on a machine that provided me with TBS of my spine. Much to my disappointment my Trabecular bone score was -1.123, which is in the "degraded" range. I was hoping that, although my BMD is low, that my bone quality would be good. Because of this optimism, I searched for Echolight REMS. After receiving the TBS score, I am not as anxious to travel to another State to get a REMS scan.

On the other hand, although my hip BMD T scores were similar (around -2.5) on the new machine to those on the other machine from March 2023, my lumbar spine T scores were quite different. In March, on a Hologic machine at a women's radiology center where I have been a patient for years, my lumbar spine T score was -4.5 (up from -3.5 five years earlier). On August 18, 2023, on a GE Lunar Prodigy Primo DEXA Scanner at a women's imaging center connected to a local hospital and located in the same building as one of my osteoporosis doctor's offices, my lumbar spine T score was -3.8.

I do not what to make of the .7 difference in 5 months on 2 different machines. I am hoping that the March reading was inaccurate for some reason. Even though I have been increasing the amount and quality of my calcium intake since March, I really do not think my T score could have improved that much in 5 months.